Table 9. Emergency medication for self-treatment in children and adults [43].
Adrenaline auto-injector for intramuscular application, weight-adapted: | |
---|---|
7.5 – 25 kg BW or 15 – 30 kg BW | 150 μg* |
25 – 50 kg BW or 30 – 50 kg BW | 300 μg* |
> 50 kg BW | 300 – 500# – 600# μg |
– H1 receptor-blocking antihistamine, according to patient age and preference, orally as liquid or (melting) tablet – The dose of the respective antihistamine can be increased off-label up to four times the single dose – For dimetinden drops, a weight-adapted dosage of the IV formulation can be recommended as an oral dose (Table 8) | |
Glucocorticoid, according to patient age and preference, rectally or orally (as liquid or tablet) with 50 – 100 mg prednisolone equivalent | |
In case of known bronchial asthma or previous reaction with bronchospasm additionally β2-adrenoceptor agonist 2 puffs | |
If there is a history of laryngeal edema, additionally: inhaled adrenaline preparation with spray head for drug vial (to be specifically requested from pharmacist) |
Note: An emergency first aid kit should include an anaphylaxis passport with written instructions for use of the components. *According to the respective approval status for the prescribed autoinjector; BW = body weight; #not available in Austria; IV = intravenous.